| First Knight Medical Inc | |
|
8508 Alafia Hills Dr Plant City FL 33567-3408 | |
| (813) 650-8600 | |
| (813) 650-8664 |
| Full Name | First Knight Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8508 Alafia Hills Dr, Plant City, Florida |
| Authorized Official Name and Position | Laurence Milton Petty (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 8136508600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Knight Medical Inc 8508 Alafia Hills Dr Plant City FL 33567-3408 Ph: (813) 650-8600 | First Knight Medical Inc 8508 Alafia Hills Dr Plant City FL 33567-3408 Ph: (813) 650-8600 |
| NPI Number | 1780655647 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 05/10/2013 |
| Medicare PECOS PAC ID | 0143201269 |
|---|---|
| Medicare Enrollment ID | O20040525001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780655647 | NPI | - | NPPES |
| 255973100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME0068819 (Florida) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | ME0068819 (Florida) | Secondary |
| Provider Name | Laurence M Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265655757 PECOS PAC ID: 7012818644 Enrollment ID: I20040116000631 |
| Provider Name | Yves Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871542043 PECOS PAC ID: 1951362193 Enrollment ID: I20041021000541 |
| Provider Name | Edward C Reller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023187424 PECOS PAC ID: 2062413396 Enrollment ID: I20070129000594 |
| Provider Name | Peggy A Cordle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578826954 PECOS PAC ID: 3173770310 Enrollment ID: I20120823000513 |
| Provider Name | Leonne Moient Deravine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245678119 PECOS PAC ID: 5193967545 Enrollment ID: I20130814000261 |
| Provider Name | Ethan Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265951891 PECOS PAC ID: 1153697842 Enrollment ID: I20171025000423 |
| Provider Name | Unyime J Usoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730698226 PECOS PAC ID: 8224396437 Enrollment ID: I20171218000503 |
Joseph Larue Richter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2007 W Reynolds St, Plant City, FL 33563 Phone: 813-754-4242 Fax: 813-752-0512 | |
Healthpoint Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Jim Redman Pkwy, Plant City, FL 33563 Phone: 813-754-4611 Fax: 813-719-8731 | |
Clinical Care Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Oak Ave, Plant City, FL 33563 Phone: 813-284-7903 | |
Z. A. Khan, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Plant Ave, Plant City, FL 33563 Phone: 813-754-1871 Fax: 813-754-1872 | |
Suncoast Community Health Center Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Mobley St, Suite 1, Plant City, FL 33563 Phone: 813-349-7654 Fax: 813-349-7655 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 S Alexander St Ste 1, Plant City, FL 33566 Phone: 813-754-3344 Fax: 813-754-3574 | |
Omar Aref Md Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1707 W Reynolds St, Plant City, FL 33563 Phone: 813-756-5695 Fax: 813-059-3635 |